| Abdomen 2 views (74019) |
$153.84 |
$236.68 |
1.5× |
| Acute gastrointestinal blood loss imaging (78278) |
$517.44 |
$796.06 |
1.3× |
| Ankle 2 views (73600) |
$88.18 |
$135.67 |
1.0× |
| Arthrogram hip (73525) |
$769.64 |
$1,184.05 |
2.2× |
| Arthrogram shoulder (73040) |
$434.22 |
$668.03 |
1.2× |
| Arthrogram wrist (73115) |
$346.42 |
$532.96 |
1.0× |
| Arthrography knee lt (73580) |
$409.84 |
$630.52 |
1.2× |
| Bone &/Joint Imaging Limited Area (78300) |
$449.46 |
$691.47 |
1.1× |
| Bone &/Joint Imaging Multiple Areas (78305) |
$459.84 |
$707.44 |
1.1× |
| Bone &/joint imaging whole body (78306) |
$647.48 |
$996.12 |
1.6× |
| Bone age studies (77072) |
$99.70 |
$153.38 |
0.9× |
| Bone Imaging 3 Phase (78315) |
$680.72 |
$1,047.27 |
1.7× |
| Bone survey complete (77075) |
$175.81 |
$270.48 |
1.7× |
| Brain imaging < 4 static views (78600) |
$311.12 |
$478.64 |
0.8× |
| Brain Imaging Minimum 4 Static Views (78605) |
$505.60 |
$777.84 |
0.9× |
| Cervical spine 2 or 3 views (72040) |
$101.16 |
$155.62 |
1.2× |
| Chest 1 view (71045) |
$99 |
$152.32 |
1.1× |
| Chest 3 views (71047) |
$135.20 |
$207.99 |
1.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$249.17 |
$383.34 |
1.4× |
| Clavicle complete (73000) |
$98.28 |
$151.20 |
1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$308.62 |
$474.79 |
2.9× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) |
$208.48 |
$320.74 |
1.2× |
| CT abdomen and pelvis without and with contrast (74178) |
$427.04 |
$657 |
1.2× |
| CT abdomen and pelvis without contrast (74176) |
$393.89 |
$605.99 |
1.6× |
| CT abdomen w contrast (74160) |
$428.78 |
$659.66 |
2.4× |
| CT abdomen w wo contrast (74170) |
$508.34 |
$782.06 |
2.9× |
| CT abdomen w/o contrast (74150) |
$351.70 |
$541.07 |
3.3× |
| CT angio hrt w/3d image (75574) |
$570.65 |
$877.92 |
1.6× |
| CT angiography upper extremity lt (73206) |
$319.14 |
$490.98 |
1.8× |
| CT c-spine w/o contrast (72125) |
$342.02 |
$526.20 |
3.3× |
| CT cervical spine w&w/o contrast (72127) |
$565.36 |
$869.79 |
3.2× |
| CT cervical spine with contrast (72126) |
$378.80 |
$582.78 |
1.1× |
| CT chest w/wo contrast (71270) |
$501.16 |
$771.02 |
2.8× |
| CT chest with contrast (71260) |
$423.40 |
$651.39 |
2.4× |
| CT head/brain with contrast (70460) |
$421.62 |
$648.64 |
2.4× |
| CT head/brain without and with contrast (70470) |
$502.23 |
$772.66 |
2.9× |
| CT heart contrast eval cardiac structure&morph (75572) |
$628.38 |
$966.74 |
1.8× |
| CT heart no contrast quant eval coronry calcium (75571) |
$186.56 |
$287.01 |
2.1× |
| CT iac w contrast (70481) |
$495.72 |
$762.64 |
2.8× |
| CT limited/localized follow up study (76380) |
$197.37 |
$303.64 |
2.3× |
| CT lower ext w/o (73700) |
$101.10 |
$155.54 |
1.0× |
| CT lower extremity w wo contrast (73702) |
$499.02 |
$767.73 |
2.8× |
| CT lower extremity with contrast (73701) |
$356.02 |
$547.72 |
2.0× |
| CT lumbar spine w & w/o contrast (72133) |
$512.28 |
$788.12 |
2.9× |
| CT lumbar spine w/o contrast (72131) |
$349.82 |
$538.20 |
3.3× |
| CT lumbar spine with contrast (72132) |
$416.83 |
$641.28 |
1.2× |
| CT maxillofacial w contrast (70487) |
$450.22 |
$692.64 |
2.6× |
| CT maxillofacial w/o contrast (70486) |
$407.99 |
$627.68 |
3.9× |
| CT maxillofacial w/wo contrast (70488) |
$501.88 |
$772.12 |
2.8× |
| CT neck soft tissue w contrast (70491) |
$425.39 |
$654.44 |
2.4× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$551.28 |
$848.12 |
3.1× |
| CT orbits w/o contrast (70480) |
$341.84 |
$701.75 |
3.3× |
| CT pelvis w & w/o contrast (72194) |
$452.58 |
$696.28 |
2.6× |
| CT pelvis w/o contrast (72192) |
$346.68 |
$533.35 |
3.3× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$487.60 |
$750.14 |
2.8× |
| CT soft tissue neck w/o contrast (70490) |
$356.69 |
$548.75 |
3.4× |
| CT thoracic spine w/contrast (72129) |
$474.42 |
$729.88 |
2.7× |
| CT thoracic spine w/o contrast (72128) |
$316.02 |
$486.20 |
3.0× |
| CT thoracic spine w/wo contrast (72130) |
$527.18 |
$811.04 |
3.0× |
| CT thorax w/o contrast (71250) |
$346.32 |
$532.79 |
3.3× |
| CT upper extremity w/o & w/contrast material (73202) |
$657.78 |
$1,011.96 |
3.7× |
| CT upper extremity w/o contrast rt (73200) |
$342.02 |
$526.20 |
3.3× |
| CT upper extremity with contrast (73201) |
$729.30 |
$1,122 |
2.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$511 |
$786.16 |
2.9× |
| Cta Abdomen (74175) |
$483.02 |
$743.10 |
2.7× |
| CTA abdomen pelvis (74174) |
$648.60 |
$997.86 |
1.9× |
| CTA chest (71275) |
$417.72 |
$642.64 |
2.4× |
| Cta Head (70496) |
$526.24 |
$809.61 |
3.0× |
| CTA lwr ext w&w/o contrast (73706) |
$486.62 |
$748.64 |
2.8× |
| Cta Neck (70498) |
$526.24 |
$809.61 |
3.0× |
| Cta Pelvis (72191) |
$563.01 |
$866.17 |
3.2× |
| Cystography minimum 3 views rs&i (74430) |
$305.54 |
$470.06 |
0.9× |
| Dxa bone density study 1/> sites axial skel (77080) |
$176.44 |
$271.44 |
1.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$87.71 |
$134.94 |
1.0× |
| Dxa bone density study axial skeleton (77085) |
$203.88 |
$313.66 |
1.9× |
| Esophagus (74220) |
$317.43 |
$488.35 |
1.8× |
| Fluoroscopy up to 1 hr (76000) |
$198.74 |
$305.74 |
0.8× |
| Foot 2 views (73620) |
$87.84 |
$135.13 |
1.0× |
| Forearm 2 views (73090) |
$97.94 |
$150.67 |
1.1× |
| Functional MRI brain by tech (70554) |
$341.14 |
$524.83 |
1.4× |
| Gated Heart Planar Single (78472) |
$466.68 |
$717.96 |
1.2× |
| Hand 2 views (73120) |
$80.40 |
$123.70 |
0.8× |
| Hand 3 views (73130) |
$90.52 |
$139.26 |
1.0× |
| Heart Infarct Image (78466) |
$451.99 |
$695.37 |
1.1× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$699.04 |
$1,075.44 |
1.3× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$488.02 |
$750.79 |
1.2× |
| Ht muscle image spect sing (78451) |
$1,417.18 |
$2,180.28 |
1.1× |
| Humerus Min 2 Views Left (73060) |
$97.94 |
$150.67 |
1.1× |
| Kidney imaging morphology (78700) |
$395.65 |
$608.70 |
1.0× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$583.23 |
$897.28 |
1.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$466.75 |
$718.08 |
0.9× |
| Knee 3 views (73562) |
$98.71 |
$151.86 |
1.1× |
| Liver & spleen imaging static only (78215) |
$397.80 |
$612 |
1.0× |
| Liver imaging static only (78201) |
$1,311.77 |
$2,018.11 |
2.4× |
| Liver imaging w/vascular flow (78202) |
$1,315.70 |
$2,024.15 |
2.4× |
| Meckels Diverticulum (78290) |
$502.02 |
$772.34 |
1.3× |
| MRA head w/o contrast (70544) |
$428.76 |
$659.63 |
1.8× |
| MRA head with contrast (70545) |
$652.28 |
$1,003.50 |
1.9× |
| MRA neck w contrast (70548) |
$774.80 |
$1,192 |
2.2× |
| MRI abdomen w contrast (74182) |
$564.16 |
$867.94 |
1.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$714.93 |
$1,099.90 |
2.0× |
| MRI abdomen w/o contrast (74181) |
$442 |
$680 |
1.8× |
| MRI any jnt lwr ext with con lt (73722) |
$713.18 |
$1,097.21 |
0.9× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$661.98 |
$1,018.43 |
0.8× |
| MRI c-spine with contrast (72142) |
$783.78 |
$1,205.82 |
2.2× |
| MRI cervical spine w/o contrast (72141) |
$430.42 |
$662.18 |
1.8× |
| MRI chest w/o & w/contrast material (71552) |
$548.50 |
$843.85 |
1.6× |
| MRI chest w/o contrast (71550) |
$598.74 |
$921.14 |
2.5× |
| MRI chest with contrast (71551) |
$709.86 |
$1,092.10 |
0.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$878.62 |
$1,351.72 |
2.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$560.45 |
$862.23 |
1.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$474.79 |
$730.45 |
2.0× |
| MRI orbit face &/neck w/o contrast (70540) |
$332.60 |
$511.70 |
1.4× |
| MRI orbit/face/neck w&w/o cont (70543) |
$712.42 |
$1,096.03 |
2.0× |
| MRI orbit/face/neck w/contrast (70542) |
$672.50 |
$1,034.60 |
1.9× |
| MRI pelvis w contrast (72196) |
$720.52 |
$1,108.48 |
2.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$714.93 |
$1,099.90 |
2.0× |
| MRI pelvis w/o contrast (72195) |
$442.35 |
$680.54 |
1.8× |
| MRI scan of arm joint before and after contrast (73223) |
$1,005.92 |
$1,547.57 |
2.9× |
| MRI scan of leg joint before and after contrast (73723) |
$1,021.84 |
$1,572.07 |
2.9× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$719.92 |
$1,107.58 |
2.1× |
| MRI spinal canal lumbar w/contrast material (72149) |
$778.56 |
$1,197.79 |
2.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$719.92 |
$1,107.58 |
2.1× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$780.67 |
$1,201.03 |
2.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$719.92 |
$1,107.58 |
2.1× |
| MRI thoracic spine w/o contrast (72146) |
$430.42 |
$662.18 |
1.8× |
| MRI tmj (70336) |
$339.06 |
$521.62 |
1.4× |
| MRI upper ext joint w/o contrast (73221) |
$373.60 |
$574.76 |
1.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,021.84 |
$1,572.07 |
2.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$610.35 |
$939 |
2.5× |
| Myelogram Lumbar (72265) |
$800.84 |
$1,232.06 |
1.0× |
| Myelogram thoracic (72255) |
$609.42 |
$937.56 |
0.8× |
| Myelography 2 or more regions (72270) |
$633.66 |
$974.86 |
0.8× |
| Myocardial Spect Multiple Studies (78452) |
$1,577.89 |
$2,427.52 |
1.2× |
| Neck soft tissue (70360) |
$99 |
$152.32 |
1.1× |
| Nm gastric emptying study (78264) |
$621.82 |
$956.66 |
1.5× |
| Nuclear medicine study of kidney and blood flow (78701) |
$398.14 |
$612.53 |
1.0× |
| Osseous survey infant (77076) |
$207.55 |
$319.30 |
2.0× |
| Osseous survey limited (77074) |
$175.08 |
$269.36 |
1.7× |
| Parathyroid imaging (78070) |
$548.43 |
$843.74 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$230.10 |
$354 |
2.2× |
| Pr heart first pass single,planar (78481) |
$411.74 |
$633.44 |
0.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,021.84 |
$1,572.07 |
2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$241.68 |
$371.81 |
0.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$212.40 |
$326.78 |
2.0× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$133.24 |
$204.98 |
1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$146.46 |
$225.33 |
1.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$99 |
$152.32 |
1.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$179.37 |
$275.95 |
1.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$121.28 |
$186.58 |
1.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$121.76 |
$187.32 |
1.4× |
| Radiological examination surgical specimen (76098) |
$571.20 |
$878.78 |
1.0× |
| Ribs bilateral 3 views (71110) |
$160.94 |
$247.60 |
1.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$580.89 |
$893.68 |
1.1× |
| Scanogram (77073) |
$132.90 |
$204.46 |
1.3× |
| Scapula complete (73010) |
$146.12 |
$224.80 |
1.4× |
| Screening digital breast tomosynthesis (77063) |
$69.78 |
$107.35 |
3.0× |
| Small bowel series (74250) |
$240.72 |
$370.34 |
1.4× |
| Spine thoracic 3 views (72072) |
$177.22 |
$272.64 |
1.7× |
| Spleen imaging only (78185) |
$390.72 |
$601.10 |
1.0× |
| Testicular Imaging With Vascular Flow (78761) |
$409.60 |
$630.15 |
1.0× |
| Thoracolumbar 2 views (72080) |
$100.45 |
$154.54 |
1.1× |
| Thyroid carcinoma metastases img whole body (78018) |
$641.87 |
$987.49 |
1.2× |
| Thyroid Imaging With Vascular Flow (78013) |
$391.70 |
$602.62 |
1.0× |
| Thyroid uptake measurement (78012) |
$718.90 |
$567.35 |
1.8× |
| Tmj unilateral (70328) |
$100.43 |
$154.51 |
1.1× |
| Ultrasound elastography first target lesion (76982) |
$121.74 |
$187.29 |
1.2× |
| Ultrasound, abdomen limited (76705) |
$195.48 |
$300.74 |
1.9× |
| Unlisted Ultrasound Procedure (76999) |
$144.30 |
$222 |
1.7× |
| Upper Extremity Infant (73092) |
$127.82 |
$196.64 |
1.2× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$299.98 |
$461.50 |
1.7× |
| Us abdl aorta screen aaa (76706) |
$201.14 |
$309.46 |
1.9× |
| Us breast unilateral complete (76641) |
$203.96 |
$313.80 |
1.9× |
| Us breast unilateral limited (76642) |
$124.44 |
$191.44 |
1.4× |
| Us chest (76604) |
$188.94 |
$290.68 |
1.8× |
| Us compl joint r-t w/image documentation (76881) |
$196.66 |
$302.54 |
1.9× |
| Us elastography parenchyma (76981) |
$145.80 |
$224.32 |
1.4× |
| Us ob transvaginal (76817) |
$138.74 |
$213.44 |
1.3× |
| Us pelvic non ob complete (76856) |
$185.55 |
$285.46 |
1.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$168.08 |
$258.59 |
1.6× |
| Us pregnancy ltd (76815) |
$151.90 |
$233.70 |
1.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$170.02 |
$261.56 |
1.6× |
| Us retroperitoneal complete (76770) |
$194.89 |
$299.83 |
1.9× |
| Us retroperitoneal limited (76775) |
$187 |
$287.68 |
1.8× |
| Us scrotum and contents (76870) |
$183.05 |
$281.62 |
1.7× |
| Us soft tissue head/neck (76536) |
$235.03 |
$361.58 |
2.2× |
| Us xtr non-vasc lmtd (76882) |
$185.90 |
$286 |
1.8× |
| Vascular flow imaging (78445) |
$307.17 |
$472.57 |
0.8× |
| Vertebral fracture assessment via dxa (77086) |
$63.20 |
$97.23 |
0.7× |
| Wrist 2 views (73100) |
$98.28 |
$151.20 |
1.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$204.64 |
$314.84 |
1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$74.66 |
$114.86 |
0.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$97.99 |
$150.76 |
1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$98.28 |
$151.20 |
1.1× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$108.72 |
$167.26 |
1.2× |
| X-ray exam hip uni 1 view (73501) |
$195 |
$300 |
2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$120.33 |
$185.12 |
1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$180.79 |
$278.14 |
1.7× |
| X-ray exam of femur 1 (73551) |
$94.70 |
$145.70 |
1.1× |
| X-ray eye for foreign body (70030) |
$73.67 |
$113.34 |
0.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$159.50 |
$245.39 |
1.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$100.06 |
$153.94 |
1.1× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$108.38 |
$166.73 |
1.2× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$59.59 |
$91.67 |
0.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$82.43 |
$126.82 |
0.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$99.40 |
$152.92 |
0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$113.90 |
$175.24 |
1.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$59.91 |
$92.17 |
0.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$154.13 |
$237.12 |
1.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$183.12 |
$281.72 |
1.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$98.64 |
$151.76 |
1.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$60.98 |
$93.82 |
0.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$133.28 |
$205.04 |
1.3× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$177.66 |
$273.33 |
1.7× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$499.36 |
$768.25 |
1.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$132.03 |
$203.12 |
1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$182.22 |
$280.34 |
1.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$410.89 |
$632.14 |
3.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$98.64 |
$151.76 |
1.1× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$109.44 |
$168.36 |
1.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$108.60 |
$167.08 |
1.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$98.64 |
$151.76 |
1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$180.08 |
$277.04 |
1.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$150.03 |
$230.82 |
1.4× |
| X-Ray Spine One View - Xr Spine (72020) |
$88.84 |
$136.67 |
1.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$100.94 |
$155.29 |
1.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$124.77 |
$191.96 |
1.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$140.06 |
$215.48 |
1.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$86.75 |
$133.46 |
1.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$108.72 |
$167.26 |
1.2× |
| Xr c-spine 6 or more views (72052) |
$196.09 |
$301.68 |
1.9× |
| Xr chest 4+ views (71048) |
$160.06 |
$246.26 |
1.5× |
| Xr finger(s) 2+ views (73140) |
$88.72 |
$136.49 |
1.0× |
| XR Mastoids < 3 Views Bilateral (70120) |
$135.14 |
$207.92 |
1.3× |
| Xr shoulder 1 view (73020) |
$97.57 |
$150.11 |
1.1× |
| Xr spine cervical 4 or 5 views (72050) |
$161.84 |
$248.99 |
1.5× |
| Xr tibia/fibula 2 views (73590) |
$97.94 |
$150.67 |
1.1× |
| Xr tmj bilateral (70330) |
$100.43 |
$154.51 |
1.1× |
| Xray knee 1 or 2 views rt (73560) |
$46.15 |
$71 |
0.5× |